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A survey on the prevalence and causes of severe early postpartum hemorrhage in Kermanshah (2001-2002)


avatar F Keshavarzi 1 , * , avatar E Kheirollahi 1 , avatar M Khoshai 1

1 Iran

How to Cite: Keshavarzi F, Kheirollahi E, Khoshai M. A survey on the prevalence and causes of severe early postpartum hemorrhage in Kermanshah (2001-2002). J Kermanshah Univ Med Sci. 2004;7(4):e81280.


Journal of Kermanshah University of Medical Sciences: 7 (4); e81280
Published Online: March 19, 2004
Article Type: Research Article
Received: November 10, 2003
Accepted: March 10, 2004


Background and Objectives : Early postpartum hemorrhage (EPPH) is one of the most important causes of maternal mortality. It is responsible for 28% of maternal death in developing countries. Considering the importance of EPPH and also for prevention and control of it, this study on the prevalence and causes of EPPH in Kermanshah from 2001-2002 was established.
Materials and Methods : This descriptive study included all women who referred to hospital for delivery and needed transfusion due to EPPH. A questionnaire containing age , parity , delivery method and causes of EPPH was completed .
Results: This study showed that the prevalence of severe EPPH was 0.69%. It was 0.58% after normal vaginal delivery and 0.78% after cesarean section. The causes were uterine atonia (29cases–43.3%), genital tract laceration (11 cases–16.4%), coagulation disorders(8cases-11.9%) & abnormal placental adherence(6cases–9%). There were more than one cause in 13 cases(19.4%).
Discussion: The prevalence of severe EPPH after Cesarean section was more than normal vaginal delivery. The most common cause was uterine atonia. The mortality due to it can be decreased by staff education.
More study is necessary to define the true prevalence and risk factors of severe EPPH in Kermanshah and also in Iran .


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© 2004, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.